Displaying 12911-12920 of 1611142 results.
ID:
12911
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2045959
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
12912
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2045961
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
12913
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2045958
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
12914
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055286
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12915
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2265701
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
12916
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283505
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
12917
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283515
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
12918
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283518
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
12919
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283509
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
12920
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283513
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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